Behavioral Health Case Manager - Little Rock Metro, Pulaski, Garland, Saline, Jefferson Counties, AR

Requisition Number: 2386669
$5,000 Sign-on Bonus for External Candidates
Optum Home & Community Care , part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum Care at Home team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. This life-changing work adds a layer of support to improve access to care. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.
The DSNP program combines Optum trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team. United providers serve patients' in their own homes through annual comprehensive assessments, ongoing visits for higher risk members, care coordination during transitions from the hospital or nursing home and ongoing care management. The program's interdisciplinary care team approach provides needed care in person and through telephonic interventions in collaboration with the members Primary Care Provider and other members of the interdisciplinary care team.
Schedule: Monday - Friday 8am-5pm Central with potential for 4 x 10 hour days after 6 months of employment. No on call or holiday work.
Territory: You will be in the field approximately 60% of the time and will work from home when not in the field. Territory covers approximately 60-mile radius around clinician's home.
Primary Responsibilities:

• Assist in coordinating Medicaid/Medicare benefits with a multidisciplinary team approach
• Build relationships and work with a variety of populations within the community
• Work with populations with complex social and medical needs including adults with serious mental illness and emotional disturbances, members with substance use disorders, and members with other complex or multiple chronic conditions
• Assess the members within the scope of licensure and with the frequency established in the model of care.
• Establish goals to meet identified health care needs
• Plan, implement and evaluate responses to the plan of care
• Work collaboratively with a multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
• Communicate with the patient's PCP, specialists, or other health care professionals as appropriate
• Assess patient needs for community resources and make appropriate referrals for service
• Completely and accurately document in patient's electronic medical record
• Provide members and family members with education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
• Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
• Actively participate in organizational quality initiatives
• Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
• Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
• Demonstrate a commitment to the mission, core values and goals of UnitedHealth Group and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:

• Master's Degree in Social Work
• LMSW- Independent, APSW, or LCSW in state of Arkansas
• 2+ years of Social Work experience
• Experience working with Electronic Medical records, MS Word, Excel and Outlook
• Proven effective time management and communication skills
• Demonstrated ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
• Dedicated work area established that is separated from other living areas and provides information privacy
• Access to high-speed internet
• Ability to travel 100% of the time (Travel is restricted to only 60-mile radius, other visits are made virtually)
• Valid driver's license
• Reliable transportation

Preferred Qualifications:

• Case Manager Certification (CCMC)
• Experience with arranging community resources
• Experience working in Duals (DSNP) and/or Medicaid environment
• Field based work experience
• Background in managing populations with complex medical or behavioral needs

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.